The psychological health of women in early pregnancy was investigated in a sample of 273 women (mean gestational age 12.8 weeks, SD=2.8) using the General Health Questionnaire (GHQ) and mood and illness perception visual analogue scales, and compared with the prevalence and severity of nausea and vomiting as measured using the Nausea and Vomiting in Pregnancy Instrument (NVPI). Using a cut-off of 4/5 for the GHQ, 50.5% of pregnant women were found to have potential psychiatric problems. However, perceived mental health and physical illness was significantly better than anticipated. The severity of nausea and vomiting correlated independently with GHQ subscales for somatic symptoms, social dysfunction, anxiety/insomnia and severe depression. The contradiction between high GHQ scored and high perceived wellbeing might be explained through cognitive processing. Nausea and vomiting in early pregnancy is associated with psychiatric morbidity. The causal relationship between the two conditions has not been established.

Feline leukaemia viruses (FeLV) were isolated from cats in Glasgow and New York with lymphosarcoma and from apparently healthy carrier cats. The subgroup composition of each isolate was determined. All isolates contained FeLV of subgroup A(FeLV-A) and a high proportion also contained subgroup B virus (FeLV-B). Virus of subgroup C (FeLV-C) was rare and occurred in association with FeLV-A and, in some isolates, with FeLV-B as well. The same pattern was observed in isolates from British and American cats. The frequency of FeLV subgroups was different in cats with lymphosarcoma and in healthy carrier cats. In cats with lymphosarcoma, 42% had FeLV-A and 58% had FeLV-AB; there was no obvious correlation between virus subgroup and type of disease. In FeLV-positive healthy cats, 65% had FeLV-A and 33% had FeLV-AB. FeLV-C was isolated only from cats with disease. The healthy carrier cats were from multiple-cat households (MCH). Two distinct types of FeLV-infected MCH were found: MCH-A in which the carrier cats yielded only FeLV-A, and MCH-AB in which cats with either FeLV-A or FeLV-AB were present. In MCH-AB half of the cats had FeLV-A and half had FeLV-AB. Overall, the proportion of cats in MCH which were viraemic with FeLV was 42%. However, there was a marked difference in the prevalence of carrier cats in each type of MCH: in MCH-A, 28% were FeLV-positive while in MCH-AB, 53% were viraemic.

SUMMARYFeline leukaemia viruses of subgroups B and C multiply in human and canine cells, while subgroup A viruses do not. This host range restriction is determined by the virus envelope and operates at the level of virus entry into the cell. Subgroup A virus genomes are expressed and replicated when they are introduced within B subgroup envelopes into human or dog cells. Therefore, since they are phenotypic mixtures of A and B subgroup viruses, the majority of feline leukaemia virus isolates will infect human and canine cells with the subsequent production of FeLV of each subgroup.

Objective To determine the prevalence of domestic violence in a population of pregnant women.Design Questionnaire survey.Setting Antenatal booking clinic in a north of England hospital.Population Five hundred consecutive women were included.Methods Anonymous confidential questionnaire to women who were not accompanied by their partners.Main outcome measures Disclosure of a past history of physical, emotional or sexual abuse.Results Four hundred and seventy-five questionnaires were returned (95% response rate). The prevalence of domestic violence was 17%. Domestic violence was highest in the age group 26-30 years and boyfriends were the main perpetrators. Punching and slapping were the most common pattern of violence, and 10% of women experiencing domestic violence had had forced sexual activity. Conclusion The prevalence of domestic violence in a cohort of pregnant women in the north of England was 17%. Consideration should be given for routine screening for domestic violence in pregnancy to institute effective intervention strategies.

A case of a successful induction of lactation in a commissioning mother of a surrogate pregnancy is reported. Induction of lactation was achieved with oral metoclopramide which was well tolerated. Alternative methods to induce lactation are reviewed. The advantages of breast-feeding and the relative ease with which lactation can be induced after a surrogate pregnancy would suggest that this could be offered to all commissioning mothers.